Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,466.84	Facility		$1,778.28	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $2,630.27	Professional		$630.96	$812.83	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,122.02	Professional		$933.25	$933.25	$1,122.02
HMSA Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $4,897.79	Professional		$1,174.90	$1,548.82	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $1,230.27	Professional		$707.95	$1,023.29	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,412.54	Professional		$660.69	$1,047.13	$1,412.54
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,691.53 / $6,165.95	Professional		$794.33	$2,691.53	$6,165.95